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Provision of Dental Care to Indigenous South Australians and Impacts on Improved General Health: Study Protocol

Background: Indigenous South Australians carry a disproportionate burden of dental diseases, with approximately 80 percent of Indigenous adults having both periodontal disease and dental caries. The chronic inflammatory nature of many dental conditions means there are widespread systemic impacts, pa...

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Autores principales: Jamieson, Lisa, Hedges, Joanne, Dodd, Zell, Larkins, Priscilla, Zbierski, Cindy, Nath, Sonia, Kapellas, Kostas, Ju, Xiangqun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9957074/
https://www.ncbi.nlm.nih.gov/pubmed/36833652
http://dx.doi.org/10.3390/ijerph20042955
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author Jamieson, Lisa
Hedges, Joanne
Dodd, Zell
Larkins, Priscilla
Zbierski, Cindy
Nath, Sonia
Kapellas, Kostas
Ju, Xiangqun
author_facet Jamieson, Lisa
Hedges, Joanne
Dodd, Zell
Larkins, Priscilla
Zbierski, Cindy
Nath, Sonia
Kapellas, Kostas
Ju, Xiangqun
author_sort Jamieson, Lisa
collection PubMed
description Background: Indigenous South Australians carry a disproportionate burden of dental diseases, with approximately 80 percent of Indigenous adults having both periodontal disease and dental caries. The chronic inflammatory nature of many dental conditions means there are widespread systemic impacts, particularly on type 2 diabetes, chronic kidney disease and cardiovascular disease. Evidence suggests there are barriers experienced by Indigenous South Australians in accessing timely and culturally safe dental care. This study aims to: (1) elicit the views of Indigenous South Australians regarding their perspectives of what comprises culturally safe dental care; (2) provide such dental care and; (3) assess any changes in both oral and general health using point-of-care testing following receipt of timely, comprehensive and culturally safe dental care. Methods/Design: This mixed-methods study will involve qualitative interviews and an intervention without randomisation. The qualitative component will comprise seeking perspectives of Indigenous South Australians regarding what culturally safe dental care means for them. For the intervention component, participants will take part in oral epidemiological examinations at baseline and 12-month follow-up (after receipt of dental care), which will include collection of saliva, plaque and calculus, as well as completion of a self-report questionnaire. The primary outcome measures—changes in type 2 diabetes (HbA1c), cardiovascular disease (CRP) and chronic kidney disease (ACR)—will be obtained by blood/urine spot from a finger prick/urine collection at baseline and 12-month follow-up via point-of-care testing. Results: Participant recruitment will commence in July 2022. The first results are expected to be submitted for publication one year after recruitment begins. Discussion: The project will have a number of important outcomes, including increased understanding of what culturally safe dental care means for Indigenous South Australians, the delivery of such care, and empirical evidence of how culturally safe dental care leads to better prognosis for chronic diseases linked with poor oral health. This will be important for health services planning, especially in the Aboriginal Community Controlled Health Organisation sector, where the management of dental diseases in a culturally safe manner for better chronic disease outcomes is currently insufficiently understood, planned and budgeted for.
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spelling pubmed-99570742023-02-25 Provision of Dental Care to Indigenous South Australians and Impacts on Improved General Health: Study Protocol Jamieson, Lisa Hedges, Joanne Dodd, Zell Larkins, Priscilla Zbierski, Cindy Nath, Sonia Kapellas, Kostas Ju, Xiangqun Int J Environ Res Public Health Protocol Background: Indigenous South Australians carry a disproportionate burden of dental diseases, with approximately 80 percent of Indigenous adults having both periodontal disease and dental caries. The chronic inflammatory nature of many dental conditions means there are widespread systemic impacts, particularly on type 2 diabetes, chronic kidney disease and cardiovascular disease. Evidence suggests there are barriers experienced by Indigenous South Australians in accessing timely and culturally safe dental care. This study aims to: (1) elicit the views of Indigenous South Australians regarding their perspectives of what comprises culturally safe dental care; (2) provide such dental care and; (3) assess any changes in both oral and general health using point-of-care testing following receipt of timely, comprehensive and culturally safe dental care. Methods/Design: This mixed-methods study will involve qualitative interviews and an intervention without randomisation. The qualitative component will comprise seeking perspectives of Indigenous South Australians regarding what culturally safe dental care means for them. For the intervention component, participants will take part in oral epidemiological examinations at baseline and 12-month follow-up (after receipt of dental care), which will include collection of saliva, plaque and calculus, as well as completion of a self-report questionnaire. The primary outcome measures—changes in type 2 diabetes (HbA1c), cardiovascular disease (CRP) and chronic kidney disease (ACR)—will be obtained by blood/urine spot from a finger prick/urine collection at baseline and 12-month follow-up via point-of-care testing. Results: Participant recruitment will commence in July 2022. The first results are expected to be submitted for publication one year after recruitment begins. Discussion: The project will have a number of important outcomes, including increased understanding of what culturally safe dental care means for Indigenous South Australians, the delivery of such care, and empirical evidence of how culturally safe dental care leads to better prognosis for chronic diseases linked with poor oral health. This will be important for health services planning, especially in the Aboriginal Community Controlled Health Organisation sector, where the management of dental diseases in a culturally safe manner for better chronic disease outcomes is currently insufficiently understood, planned and budgeted for. MDPI 2023-02-08 /pmc/articles/PMC9957074/ /pubmed/36833652 http://dx.doi.org/10.3390/ijerph20042955 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Protocol
Jamieson, Lisa
Hedges, Joanne
Dodd, Zell
Larkins, Priscilla
Zbierski, Cindy
Nath, Sonia
Kapellas, Kostas
Ju, Xiangqun
Provision of Dental Care to Indigenous South Australians and Impacts on Improved General Health: Study Protocol
title Provision of Dental Care to Indigenous South Australians and Impacts on Improved General Health: Study Protocol
title_full Provision of Dental Care to Indigenous South Australians and Impacts on Improved General Health: Study Protocol
title_fullStr Provision of Dental Care to Indigenous South Australians and Impacts on Improved General Health: Study Protocol
title_full_unstemmed Provision of Dental Care to Indigenous South Australians and Impacts on Improved General Health: Study Protocol
title_short Provision of Dental Care to Indigenous South Australians and Impacts on Improved General Health: Study Protocol
title_sort provision of dental care to indigenous south australians and impacts on improved general health: study protocol
topic Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9957074/
https://www.ncbi.nlm.nih.gov/pubmed/36833652
http://dx.doi.org/10.3390/ijerph20042955
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